Healthcare Provider Details

I. General information

NPI: 1487401998
Provider Name (Legal Business Name): DINI WAREHOUSE NJ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2024
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1876 ROUTE 9
TOMS RIVER NJ
08755-1210
US

IV. Provider business mailing address

1876 ROUTE 9
TOMS RIVER NJ
08755-1210
US

V. Phone/Fax

Practice location:
  • Phone: 732-575-9941
  • Fax: 845-215-0106
Mailing address:
  • Phone: 732-575-9941
  • Fax: 845-215-0106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: ETI WEINBERG
Title or Position: CFO
Credential:
Phone: 347-598-0526